Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• 5,000 - 6,000 cases annually in Indiana.
• Between 15 and 30 deaths annually in Indiana.
• Different types.
• Smothering can look like SIDS
• Physical
• Emotional
• Sexual
• May be subtle.
• All demographics.
• With physical abuse, look for facial and truncal injuries.
• Head injury is the leading cause of death.
• May require full X-Ray series to look for healed fractures.
• Call the local Welfare Office if you suspect it.
• Have criteria so you are not causing needless investigations.